| NPI | 1427567361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104303) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 134291) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2025-11-19 |